Conjunctival Incisions for Strabismus Surgery. A Comparison of Techniques

摘要

A number of articles have been published on the technical details of different strabismus incisions. In general, there are 3 basic approaches: limbal,1'2 paralimbal,3'4 and fornix5'6 incisions, and there are variations on each type. The rationale for selecting a specific conjunctival incision for a particular strabismus operation is generally neglected in the ophthalmic literature. Also, there is not a review that has organized or catalogued the various modifications described in the past 2 decades. The initial conjunctival incision is a crucial part of strabismus surgery, as it facilitates the subsequent steps of exposure, muscle manipulation, and closure. Different surgeons may use different incisions for the same surgery, which for the novice surgeon may be confusing. The purpose of this article is not to dictate one specific technique, but rather to discuss the relative advantages and disadvantages of each approach.